A ‘Third Hand’ for Endoscopic Skull Base Surgery

Arnholt, Jonathan L.; Mair, Eric A.

doi:10.1097/00005537-200212000-00021

Cited by 22 publications

(15 citation statements)

References 10 publications

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“…Static scope-holding devices are available, including the Karl Storz Endoscopy-America Point Setter (Karl Storz Endoscopy-America, Culver City, CA), Invotec Flexible Tension Arm (Invotec International, Jacksonville, FL), and Fukashima Flexible Retractor Arm (Paugh Surgical, Richmond, VA). 11 However, because of their static nature, the need for the surgeon to manually position the scope holder for image adjustments or to clean the lens, and the relatively high cost of these devices, the devices have not been widely adopted. Therefore, the developed hands-free robot provides a feasible solution to the active endoscope manipulation problem in sinus surgery.…”

Section: Discussionmentioning

confidence: 99%

Foot‐controlled robotic‐enabled endoscope holder for endoscopic sinus surgery: A cadaveric feasibility study

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Foot‐controlled robotic‐enabled endoscope holder for endoscopic sinus surgery: A cadaveric feasibility study

et al. 2015

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“…A holder free of flexible tension arms for rigid Karl Storz telescopes and a Mataka pneumatic scope holder have been described. 23 However, the cost of the scope holder is high, and it still requires that the scope be detached when the field is blurry. The otolaryngologist is also needed to obtain the endoscopic view of the required field.…”

Section: Discussionmentioning

confidence: 99%

The Voice-Controlled Robotic Assist Scope Holder AESOP for the Endoscopic Approach to the Sella

et al. 2006

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Objective: To evaluate the feasibility of using a voice-controlled robot Automated Endoscopic System for Optimal Positioning (AESOP) for holding and maneuvering the endoscope in the trans-sphenoidal approach to the pituitary. Design: To compare the manual approach to the voice-activated robotic scope holder in maneuvering the endoscope and resecting pituitary lesions using a two-handed technique. Setting: Robotic laboratory at Louisiana State University Health Sciences Center, Shreveport. Cadavers: Ten fresh cadaver heads. Main Outcome Measures: To determine the feasibility, advantages, and disadvantages of a single neurosurgeon maneuvering the endoscope, visualizing key anatomical features in the sphenoid, and resecting skull base lesions after the approach by an otolaryngologist. Results: The learning curve for utilization of the voice-controlled robotic arm was short. The compact cart with the AESOP took up little space and allowed the standard setup for this procedure. The elimination of the need for manual stabilization of the endoscope permitted the use of both hands for the actual procedure. The elimination of the tremor inherent with holding the endoscope manually allowed the scope to be placed closer to the target organ with fewer collisions. The most significant advantage was the ability of AESOP to save three anatomical positions, which could be returned to with a single voice command. Conclusions: Recently, the endoscopic-endonasal approach to the sella has gained popularity. The voiceactivated robotic scope holder is safe and has several advantages over current

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“…5, Videos 1 and 2), less bleeding and easier to perform. It also offers enough space for work using a four hands technique [1]. This is specifically important during the control of active bleeding during surgery [2].…”

Section: Description Of the Techniquementioning

confidence: 99%

Bi-nostril transseptal endoscopic approach to the sphenoidal gate. A new technique

Al-Baldawi

2017

Acta Neurochir

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BackgroundThere are multiple approaches to reach the sellar region using microscope or endoscope, which are the old sublabial, with its post-operative morbidities, or the uni-nostril transseptal, which has a limited working field. Another technique is the direct transnasal, which is associated with tissue sacrifice, and lastly the bi-nostril (one side transseptal-other side transnasal), aiming to preserve one of the septal flaps.MethodWe have 27 case studies using a new technique in which we access the sphenoid endoscopicaly through the nasal septum from both nostrils under the mucoperichondrial-periosteal flap.ConclusionThis new technique provides easy way of wide exposure to the sphenoidal gate, with easier closure of the operative field.Electronic supplementary materialThe online version of this article (doi:10.1007/s00701-017-3193-1) contains supplementary material, which is available to authorized users.

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A ‘Third Hand’ for Endoscopic Skull Base Surgery

Cited by 22 publications

References 10 publications

Foot‐controlled robotic‐enabled endoscope holder for endoscopic sinus surgery: A cadaveric feasibility study

Foot‐controlled robotic‐enabled endoscope holder for endoscopic sinus surgery: A cadaveric feasibility study

The Voice-Controlled Robotic Assist Scope Holder AESOP for the Endoscopic Approach to the Sella

Bi-nostril transseptal endoscopic approach to the sphenoidal gate. A new technique

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